Isifo sokuqina kwesibindi

I-Cirrhosis iyisiqholo sesibindi nokungasebenzi kahle kwesibindi. Kuyisigaba sokugcina sesifo esingalapheki sesibindi.

I-cirrhosis imvamisa ingumphumela wokugcina wokulimala kwesibindi okungapheli okubangelwa yisifo sesibindi sesikhathi eside (esingapheli). Izimbangela ezivamile zezifo ezingapheli zesibindi e-United States yilezi:

• Ukutheleleka kwe-Hepatitis B noma i-hepatitis C.
• Ukuphuza ngokweqile.
• Amafutha ayanda esibindini ANGABANGELWA ukuphuza utshwala obuningi (obubizwa ngesifo sesibindi esinamafutha angenalo i-nonalcoholic [NAFLD] kanye ne-nonalcoholic steatohepatitis [NASH]). Kusondelene kakhulu nokukhuluphala ngokweqile, ukuba nomfutho wegazi ophakeme, isifo sikashukela noma isifo sikashukela, kanye ne-cholesterol ephezulu.

Izimbangela ezingavamile kakhulu ze-cirrhosis zifaka:

• Lapho amaseli omzimba ephutha amaseli ajwayelekile esibindi njengabahlaseli abayingozi futhi awahlasela
• Ukuphazamiseka kwemifudlana ebilisiwe
• Eminye imithi
• Izifo zesibindi zadlula emindenini

Kungase kungabikho zimpawu, noma izimpawu zingafika kancane, kuye ngokuthi isibindi sisebenza kahle kangakanani. Imvamisa, itholakala ngengozi lapho kwenziwa i-x-ray ngesinye isizathu.

Izimpawu zokuqala zifaka:

• Ukukhathala nokuphelelwa amandla
• Ukudla okungekuhle nokulahlekelwa isisindo
• Isicanucanu noma ubuhlungu besisu
• Imithambo yegazi emincane, ebomvu efana nesicabucabu esikhunjeni

Njengoba ukusebenza kwesibindi kubi, izimpawu zingafaka:

• Ukwakhela oketshezi emilenzeni (edema) nasesiswini (ascites)
• Umbala ophuzi esikhunjeni, ulwelwesi lwamafinyila, noma amehlo (i-jaundice)
• Ububomvu ezintendeni zezandla
• Emadodeni, ukungabi namandla, ukuncipha kwamasende, nokuvuvukala kwamabele
• Ukulimala okulula nokopha okungavamile, imvamisa kusuka emithanjeni evuvukile emgudwini wokugaya ukudla
• Ukudideka noma izinkinga zokucabanga
• Izitulo ezinombala ophuzi noma ezinobumba
• Ukopha okuphuma emathunjini aphezulu noma aphansi emathunjini

Umhlinzeki wakho wokunakekelwa kwezempilo uzokwenza ukuhlolwa komzimba ukuze afune:

• Isibindi esikhulisiwe noma ubende
• Izicubu zamabele ezeqile
• Isisu esivuvukile, ngenxa yoketshezi oluningi
• Izintende ezibomvu
• Imithambo yegazi ebomvu efana nesicabucabu esikhumbeni
• Amasende amancane
• Imithambo enwetshiwe odongeni lwesisu
• Amehlo aphuzi noma isikhumba (i-jaundice)

Ungaba nokuhlolwa okulandelayo ukukala ukusebenza kwesibindi:

• Qedela ukubalwa kwegazi
• Isikhathi se-Prothrombin
• Ukuhlolwa kokusebenza kwesibindi
• Izinga le-albhamu album

Olunye uvivinyo lokuhlola ukulimala kwesibindi lubandakanya:

• I-computed tomography (CT) yesisu
• I-Magnetic resonance imaging (MRI) yesisu
• I-Endoscopy yokuhlola imithambo engajwayelekile emqaleni noma esiswini
• I-Ultrasound yesisu

Ungadinga i-biopsy yesibindi ukuqinisekisa ukuxilongwa.

IZINGUQUKO ZOKUPHILA

Ezinye izinto ongazenza ukusiza ukunakekela isifo sakho sesibindi yilezi:

• Ungaphuzi utshwala.
• Yidla ukudla okunempilo okungenawo usawoti omningi, amafutha kanye nama-carbohydrate alula.
• Gomela izifo ezifana nomkhuhlane, i-hepatitis A no-B, ne-pneumococcal pneumonia.
• Khuluma nomhlinzeki wakho ngayo yonke imithi oyiphuzayo, kufaka phakathi amakhambi nezithako zokudla kanye nemithi yokuthenga ngaphandle kwamanani.
• Ukuzivocavoca umzimba.
• Lawula izinkinga zakho eziyimisipha, ezifana nomfutho wegazi ophakeme, isifo sikashukela, ne-cholesterol ephezulu.

IMITHI ESUKA KUDOKOTELA WAKHO

• Amaphilisi amanzi (isisu) ukuqeda uketshezi okwakhekayo
• Uvithamini K noma imikhiqizo yegazi ukuvimbela ukopha ngokweqile
• Imithi yokudideka kwengqondo
• Ama-antibiotic wezifo

EZINYE UKWELASHWA

• Ukwelashwa kwe-Endoscopic yemithambo ekhulisiwe ku-esophagus (varices)
• Ukususwa koketshezi esiswini (paracentesis)
• Ukubekwa kwe-transjugular intrahepatic portosystemic shunt (AMACEBISO) ukulungisa ukugeleza kwegazi esibindini

Lapho i-cirrhosis iqhubekela phambili ekugcineni kwesifo sesibindi, ukufakelwa kwesibindi kungadingeka.

Imvamisa unganciphisa ukucindezela kokugula ngokujoyina iqembu elixhasa izifo zesibindi amalungu alo abelana ngokuhlangenwe nakho okuvamile nezinkinga.

I-cirrhosis ibangelwa ukusha kwesibindi. Ezimweni eziningi, isibindi asikwazi ukuphola noma ukubuyela emsebenzini ojwayelekile uma umonakalo usunamandla kakhulu. I-cirrhosis ingaholela ezinkingeni ezinkulu.

Izinkinga zingafaka:

• Izinkinga zokopha
• Ukwakhiwa koketshezi esiswini (ama-ascites) kanye nokutheleleka koketshezi (i-bacterial peritonitis)
• Imithambo ekhulisiwe emgodini, esiswini, noma emathunjini aphuma kalula (ama-esophageal varices)
• Ukwanda kwengcindezi emithanjeni yegazi yesibindi (i-portal hypertension)
• Ukuhluleka kwezinso (hepatorenal syndrome)
• Umdlavuza wesibindi (i-hepatocellular carcinoma)
• Ukudideka kwengqondo, ushintsho ezingeni lokwazi, noma i-coma (hepatic encephalopathy)

Shayela umhlinzeki wakho uma uba nezimpawu zesifo sokuqina kwesibindi.

Thola usizo lwezimo eziphuthumayo ngokushesha uma une:

• Ubuhlungu besisu noma besifuba
• Ukuvuvukala kwesisu noma i-ascites okusha noma ngokungazelelwe kuba kubi kakhulu
• Umkhuhlane (izinga lokushisa elingaphezu kuka-101 ° F noma u-38.3 ° C)
• Uhudo
• Ukudideka noma ushintsho ekuxwayeni, noma kuba kubi kakhulu
• Ukuphuma kwegazi, igazi elihlanzayo, noma igazi emchameni
• Ukuphelelwa umoya
• Ukuhlanza ngaphezu kwesisodwa ngosuku
• Isikhumba noma amehlo aphuzi (i-jaundice) entsha noma eba kubi ngokushesha

UNGABUPHUZI utshwala. Khuluma nomhlinzeki wakho uma ukhathazekile ngokuphuza kwakho. Thatha izinyathelo zokuvimbela ukuthola i-hepatitis B noma i-C noma ukuyidlulisela kwabanye abantu.

I-cirrhosis yesibindi; Isifo sesibindi esingapheli; Isifo sesibindi sokugcina; Ukwehluleka kwesibindi - ukuqina kwesibindi; Ascites - ukuqina kwesibindi

• I-cirrhosis - ukukhipha

• Izitho zohlelo lokugaya ukudla
• Uhlelo lokugaya ukudla
• Isibindi sokuqina kwesibindi - i-CT scan

IGarcia-Tsao G. Cirrhosis nokulandelana kwayo. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 144.

Singal AK, Bataller R, Ahn J, Kamath PS, Shah VH. Umhlahlandlela Womtholampilo we-ACG: isifo sesibindi sotshwala. NginguJ Gastroenterol. 2018; 113 (2): 175-194. I-PMID: 29336434 pubmed.ncbi.nlm.nih.gov/29336434/.

UWilson SR, Withers CE. Isibindi. Ku: Rumack CM, Levine D, eds. Ukuxilongwa kwe-Ultrasound. Umhlaka 5. IPhiladelphia, PA: Elsevier; 2018: isahluko 4.